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Rationales | Latest Med-Surg Exam Review |
2026–2027
, A nurse in an emergency department is preparing to d. perform the irrigation with sterile water for irrigation
perform ocular irrigation for a client. Which of the following
actions should the nurse plan to take?
a. Assess the client's visual acuity prior to irrigation
b. Have the client turn their head toward the unaffected
eye
c. Hold the irrigator syringe 3.81 cm (1.5in) above the eye
d. Perform the irrigation with sterile water for irrigation
A nurse is preparing to administer lactated ringer's via 33 gtt/min
continuous IV infusion at 200 ml/hr. The IV tubing has a
drop factor of 10 drops / mL. How many gtt/min should the
nurse set the IV pump to administer? Round to the nearest
whole number
A nurse is providing discharge teaching to a client who has b. I should lie down when I take this medication
a new prescription for sublingual nitroglycerin. Which of the M/S c. 31/p. 201 "Stop activity and rest. Heachace is a common AE of this
following client statements indicates an understanding of medication, change positions slowly"
the teaching?
a. I can keep my medications for 1 year before replacing it.
b. I should lie down when I take this medication
c. I should discontinue this medication if I develop a
headache.
d. I can take up to 5 tablets in 15 minutes before seeking
medical attention
A nurse is providing discharge teaching to an older adult d. install a raised toilet in your bathroom
following a left total hip arthroplasty. Which of the follwoing M/S c. 68/ p. 455 "Follow position restrictions to avoid dislocation, use elevated
instructions should the nurse include in the teaching? seating and a raised toilet seat"
a. clean the incision daily with hydrogen peroxid
b. you can cross your legs and the ankles when sitting
down
c. you should use an incentive spirometer every 8 hours
d. install a raised toilet in your bathroom
A nurse is planning care for a client following a cardiac c. maintain the client's affected extremity in extension
catheterization. Which of the following actions should the M/S c. 27/p. 173 "Maintain bed rest in supine position with extremity straight for
nurse take? prescribed time"
a. keep the client on bed rest for 24 hours
b. limit the client's fluid intake to 1L per day.
c. maintain the client's affected extremity in extension
d. change the client's dressing every 8 hours.
A nurse is caring for a client who has a lower extremity a. I will need to have my partner take over shopping for groceries and cooking the
fracture and a prescription for crutches. Which of the meal for us
following client statements indicates the client is adapting
to their role change?
a. I will need to have my partner take over shopping for
groceries and cooking the meal for us
b. These crutches make it impossible to care for my child
c. I feel bad that I have to ask my partner to keep the
house clean
d. it's going to be difficult to tell my parents I can't take
them to their appointment.
A nurse is caring for a client who has gastroenteritis. d. decreased BP
Which of the following assessment findings should the M/S C. 43/ p. 277 "signs of dehydration or hypovolemia include, hypothermia,
nurse recognize as an indication that the client is tachycardia, thready pulse, HYPOTENSION, orthostatic hypotension, decreased
experiencing dehydration? central venous pressure, tachypnea, hypoxia
a. pitting, dependent edema
b. distended jugular veins
c. increased BP
d. decreased BP